Pee Dee Pediatric Dentistry

LBN: Pee Dee Pediatric Dentistry
Pee Dee Pediatric Dentistry is an health care organization with primary practice located at 1423 Alice Dr , Florence SC 29505-2660. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pee Dee Pediatric Dentistry can be contacted via phone (843) 667-6660, or through Bryant, Richard Hartwell via phone (843) 667-6660.

Contact Information

Primary practice address
1423 Alice Dr Florence SC 29505-2660
Phone: (843) 667-6660
Fax: (843) 661-0836
Website:
Map and Directions
Authorized official contact:
Name: Bryant, Richard Hartwell Doctor of Dental Medicine (DMD)
Phone: (843) 667-6660

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2248 South Carolina

Profile Details

NPI number 1316076516
LBN Legal business name Pee Dee Pediatric Dentistry
DBA Doing business as
Authorized official Bryant, Richard Hartwell Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 5th, 2007
Last updated Feb 20th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316076516 NPPES
South Carolina MEDICAID ZA9697

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